SOUTH CAROLINA CVS PHARMACY LLC

Pharmacy · SUMMERVILLE, SC

Organization Active NPI 1861595639

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20245911,832$142,498$138,834$138,834
20239243,454$182,892$175,034$175,034
20221,1543,269$131,588$117,417$117,417

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine491$30$30
90480Admn sarscov2 vacc 1 dose398$38$38
91322Sarscov2 vac 50 mcg/0.5ml im396$155$155
90653Influenza vaccine, inactivated231$82$82
90662Influenza vaccine split virus, preservative free223$81$81
G0009Administration of pneumococcal vaccine27$27$27
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use26$290$290
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage19$76$76
90656Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage13$22$22

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X5004372SC
Durable Medical Equipment & Medical Supplies332B00000X
Community/Retail Pharmacy3336C0003X

Other Pharmacy providers in South Carolina

See all Pharmacy providers in South Carolina

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.